NOTICE: July 2018 – some users are experiencing issues accessing their immunization record in the patient portal. We are working to correct the issue. Please try again or complete the Release of Records FROM Mason Form and submit it to Student Health Services.
Medical Record Management
Your medical records are strictly confidential. Medical records are kept for 6 years.
To request a copy of your medical record, you will need to sign a release form and you may be asked to show proper identification. A fee will be charged for this service.
The Privacy Rule requires a covered entity/healthcare provider to take reasonable steps to verify the identity of an individual making a request for access.
Students requesting medical records should allow up to 15 business days processing time. A fee is charged for medical records processing of records greater than 5 pages.
Immunization Records
There is no fee for students to obtain their immunization record and it is available immediately. Students will need to fill out the release form.
Current, enrolled students: Immunization records can be obtained through the online Student Health Patient Portal. You will register the first time you log in. Select “George Mason University” as your school.
Release Forms
Release of Health Records FROM Mason
If you are requesting your medical record from Mason Student Health Services for yourself, or to go to an outside provider or individual, fill out the Release of Health Records FROM Mason Form.
Submission Instructions
1. Fill out form.
2. Submit form to Student Health Services. You may drop off, mail, or fax the form. Details are on the form.
3. Authorized representatives will need to provide photo identification and legal authority documentation.
Request for Release of Records TO Mason
For an outside provider or individual to send your medical records to Mason Student Health services, you will need to fill out the Request for Release of Records TO Mason Form.
Submission Instructions
1. Fill out form.
2. Submit form to your healthcare provider or facility. Alternatively, submit the form to Student Health by drop off, mail, or fax to send to the facility.
What is an authorized representative or legal authority?
An authorized representative is a person the patient has chosen to act on their behalf. Some authorized representatives may have legal authority to act on the behalf of the patient.
Health care power of attorney (POA), health care surrogates, parents and legal guardians of unemancipated minors, and court appointed legal guardians are examples of legal authority.
For detailed information, visit the U.S. Department of Health and Human Services website regarding ‘personal representative’.